Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.66 / $100.04 / $119.72	Facility	26	$74.66	$100.04	$119.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $322.88 / $599.29	Professional		$202.85	$322.88	$599.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.51 / $140.00 / $202.43	Professional	26	$66.51	$140.00	$202.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.98 / $109.42 / $237.50	Professional	52	$92.98	$109.42	$237.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $124.54 / $214.43 / $368.50	Professional	TC	$124.54	$214.43	$368.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $470.63 / $493.55	Professional		$381.36	$470.63	$493.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.41 / $169.59 / $177.26	Professional	26	$137.41	$169.59	$177.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $243.94 / $301.04 / $315.70	Professional	TC	$243.94	$301.04	$315.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.26 / $80.26 / $80.26	Facility	26	$80.26	$80.26	$80.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.47 / $453.01 / $842.70	Professional		$277.47	$453.01	$842.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.29 / $130.05 / $181.06	Professional	26	$74.29	$130.05	$181.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $184.05 / $291.07 / $698.76	Professional	TC	$184.05	$291.07	$698.76
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $656.72 / $656.72 / $656.72	Facility	26	$656.72	$656.72	$656.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $451.82 / $2,901.82	Professional		$220.51	$451.82	$2,901.82
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $82.08 / $148.26 / $558.07	Professional	26	$82.08	$148.26	$558.07
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $159.81 / $302.58 / $2,498.98	Professional	TC	$159.81	$302.58	$2,498.98
United Facility/Professional Professional Modifier Low / Median / High Price $234.88 / $437.66 / $716.66	Professional		$234.88	$437.66	$716.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.15 / $137.49 / $186.03	Professional	26	$76.15	$137.49	$186.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.79 / $266.64 / $469.17	Professional	TC	$151.79	$266.64	$469.17